Individual
LISA ANNE LABOUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
987 SISKIYOU BLVD, ASHLAND, OR 97520-2237
(541) 621-6733
Mailing address
1128 TOLMAN CREEK RD, ASHLAND, OR 97520-3651
(541) 621-6733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16040
OR
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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